Organization
PROVIDENCE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMOBOLA A OJI M.D. (MEDICAL DIRECTOR)
(908) 791-9993
Entity
Organization
Contact information
Practice address
25 CRAIG PL, NORTH PLAINFIELD, NJ 07060-4777
(908) 791-9993
Mailing address
25 CRAIG PL, NORTH PLAINFIELD, NJ 07060-4777
(908) 791-9993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA068918
NJ
Other
Enumeration date
12/26/2006
Last updated
08/22/2020
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